More practices are using nurse practitioners and physician assistants in new ways and the roles they fill vary widely as states continue to redefine their scope of practice. The roles of NPs and PAs are becoming more important as new models of care emerge, most notably patient-center medical homes and accountable care organizations that put an emphasis on preventive care.

The Centers for Medicare and Medicaid Services (CMS) announcement that it plans to scrap ‑ or at least radically modify ‑ the much-maligned meaningful use program was welcome news to most physician organizations. But it also raised questions about what CMS plans to do and what it means to providers who have already qualified for Stage 1 and Stage 2 meaningful use.

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